1.

APPLICATION FOR AN IN-YEAR ADMISSION/ TRANSFER TO A WORCESTERSHIRE SCHOOL FOR THE SCHOOL YEAR 2021/2022

Important notes to be read before completion of the application form.Moving a child to another school is a very serious step to take. It can affect a child in many ways. It is important to consider whether a transfer is really the best option. If you are requesting a change of school that is not as a result of a house move, before making a definite decision to transfer to another school, you should think very carefully and talk through the issue with your child’s present school. Before deciding to move a child to another school, please consider the following information carefully.

• Pastoral Care – the extent to which the new school can meet the child/young person’s individual needs.

• Curriculum – although there is a National Curriculum, each school will deliver a part of this curriculum at different stages and times during the school year.

• Years 10 & 11 – you should be aware that moving a young person in these particular year groups may not always be in the best interest of the young person. Not all schools offer the same subjects at examination level and may use different exam boards and offer different specifications.

• Transport – How will your child get to the new school, you may not necessarily be entitled to transport assistance.

• Costs – All Worcestershire schools have a school uniform which all pupils will be expected to wear.

Many things that worry parents and pupils can be sorted out without the need to move schools. Talking to your child and staff at your child’s present school should avoid a transfer between schools in almost all circumstances. If a child is unhappy at school, speak to the most appropriate person in the school and follows the schools procedures for such matters. If you have a complaint about a school, the teachers or the work your child is doing, if it cannot be resolved using the schools complaints procedures you can escalate the issue in writing to the school’s Governors/Academy Trust.

If a child has special educational needs, speak to the teacher in charge of special needs (SENCO). If you are concerned your child could be permanently excluded, speak to the most appropriate person in the school for advice. Every school is responsible for meeting the needs of pupils by demonstrating the Graduated Response and the maximum use of Ordinarily Available: The Local Offer.

There are strict regulations about the transfer of children between schools and the circumstances under which they can be taken off the school’s register. In the majority of cases children may not be taken off the schools register until they have been taken on to the roll of another school.

If you suspect that a child may be being bullied, talk to the child – ask them how they are – if there is anything worrying them. If they report an incident – write it down. Has this happened before? It is important that they know that it is not their fault. If it happened at school – tell the child’s teacher. Keep a record. Encourage your child to tell someone straight away. If you believe a child is being bullied at school, it is very important to keep school informed of any incidents so that they can deal with the situation effectively.

If, after speaking to a child’s teacher and allowing time for actions to be taken, you are not satisfied with the way the matter was dealt with, escalate your concerns using the schools procedures. The matter should be investigated and action should be taken. However, if after having exhausted those actions you are still not satisfied with the outcome and you still feel your child is being bullied; you should escalate this to the school’s Governors/Academy Trust.

School Admission/Transfer Application Form - CA1

www.worcschildrenfirst.org.uk

CA1

2.

You are encouraged to consider all of the above points, decide whether a transfer is really the best option and discuss your concerns with staff at the child’s current school. A change in school does not always lead to improvements in a pupil’s behaviour. Moving your child to another school is a very serious step; it will not always solve the problem and can sometimes be more detrimental than helpful.

If you feel that a change of school is unavoidable you can make an application to transfer school. Full details of how In-Year Admissions work can be found at:

https://www.worcestershire.gov.uk/info/20099/school_admissions/706/in-year_applications

PLEASE NOTE IF YOU DO NOT COMPLETE IN FULL EACH SECTION OF THIS FORM, THIS MAY CAUSE A DELAY IN THE APPLICATION BEING PROCESSED AND IT MAY BE RETURNED TO YOU FOR FURTHER COMPLETION. It is your responsibility to ensure that all sections are completed prior to submission.

It may assist you in the completion of this form to check off each section to avoid submitting an incomplete application.

1. Child’s Details

2. Applicant’s Details

3. Preferences

4. School History

5. Reasons for moving school

6. FOR SCHOOL COMPLETION ONLY by current/most recent school

7. Declaration and Consent

Parents should be aware that Academies, Foundation, Free and Voluntary Aided Schools have different admissions criterion, and therefore it is strongly advised that you ensure that you have understood the information that is available from each School, before stating a preference on an application.

IF THIS APPLICATION IS SUCCESSFUL THE RECEIVING SCHOOL WILL USE THE INFORMATION GATHERED ON THIS FORM TO PLAN A SUCCESSFUL TRANSITION INTO SCHOOL.

IF THIS APPLICATION IS UNSUCCESSFUL, WE WILL USE THE INFORMATION GATHERED ON THIS FORM TO DETERMINE IF YOUR CHILD QUALIFIES FOR ACTION UNDER THE WORCESTERSHIRE FAIR ACCESS PROTOCOL AND MAKE ANY NECESSARY REFERAL FOR ACTION. FULL DETAILS OF THE PROTOCOL CAN BE FOUND AT: http://www.worcestershire.gov.uk/info/20632/school_admissions_policies_and_appeals

Note 1 - Parental responsibility and Home AddressShould more than one parent have parental responsibility for a child, both parents should be in agreement over the preferences expressed prior to the application being submitted. Failure to ensure agreement prior to submission, may result in a delay in the application being processed and in some instances a legal resolution may be required. When submitting your application, as part of the declaration, you will be required to confirm that everyone who has parental responsibility for this child, agrees with the content, information and preferences included on this form. If it is subsequently determined that agreement was not made prior to the application being submitted, it could result in the withdrawal of the offer of a place, if it is determined that the information supplied was misleading or fraudulent.

In some cases the Local Authority may have parent responsibility, in those cases the Social Worker in conjunction with the carer, should complete the form on behalf of the corporate parent.

Each admission authority will have a way of determining home address. You must check with the relevant school to find out how this is defined. In the case of Community and Voluntary Controlled schools, home is defined as the only or main permanent residential address, at the closing date for applications, where the child usually resides and which is the usual address of the parent/carer with main responsibility for the child.

3.

Where parents/carers have shared responsibility, the child’s home address will usually be considered to be that of the parent/carer with whom the child lives for the majority of the school week (eg three or more days out of five Monday to Friday during term-time). Where care is split equally, parent/carers must provide supporting documentary evidence to prove that care is equally split. In such cases the address used will be determined by random selection (lottery). Legal and Democratic Services who are totally independent of School Admissions will supervise this process.

Note 2 - Change of AddressIf you are moving address, you must notify the Headteacher and School Admissions of any change to your child’s home address as this might affect your application. Any change of address will require independent supporting information to be provided with the application, for full details please refer to the Information for Parents Book.

Note 3 - The catchment area schoolIf you are unsure of your catchment area school(s), you can find out by visiting: http://www.worcestershire.gov.uk/info/20062/schools/2098/find_a_school If you are unable to find your postcode on our website you can contact us on : 01905 822700.

Note 4 – Children of Staff at the SchoolPlease note that this category includes either of the following circumstances: A) Where that member of staff has been employed for two or more years at the time at which the application for admission is made, or B) the member of staff is recruited to fill a post for which there is a demonstrable skill shortage; the member of staff must have been employed for 2 or more years at the time of application or recruited to fill a vacant post for which there is a skill shortage.

Note 5 - Applications to Academy, Foundation, Free and Voluntary Aided SchoolsIf you are applying for a place at an Academy, Foundation, Free or Voluntary Aided School you are advised to check that this is the school serving your area.

It is essential that you refer to the school’s prospectus for further details relating to admission arrangements as you may wish to include relevant information, including religion, in Section 3 of this form. Some schools also require supplementary application forms to be completed. If you have to complete a supplementary application form for a school, please enclose the completed supplementary form with this CA1 application. Decisions on admissions are the responsibility of the School Governing Body/Academy Trust and not one individual within a school.

Note 6 – Applications to Community and Voluntary Controlled SchoolsAdmissions to Community and Voluntary Controlled Schools are administered by the School Admissions Section. The Headteacher of the school involved is not in a position to offer your child a place;

All preferences for all types of schools will be treated equally, and places are allocated in accordance with the published admissions criterion.

Admission of a child to a school of your preference does not mean that younger siblings will automatically gain admission to the same school, or mean that your child will be able to obtain a place at the follow on Middle or High School.

Note 7 – Applications to schools in other Local Authority areas Worcestershire does not co-ordinate In-Year admissions to schools in other Local Authority areas. You will need to contact the relevant authority to find out how In-Year applications to schools in their areas should be made. Do not complete this form if you are applying for a school in another Local Authority area.

Note 8 – Transport Details of Worcestershire County Council’s transport assistance policy are explained on the Worcestershire County Council website at the following address: http://www.worcestershire.gov.uk/homepage/18/school_and_college_transport

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Please be aware that any transport arrangements approved for this application will not set a precedent for siblings. Each application for transport will be dealt with on an individual basis. The information contained on this application may be shared with School Transport to aid in their planning and assessment.

Note 9 - Withdrawal of ApplicationYou should inform School Admissions as soon as possible if you are withdrawing your application for any reason.

Note 10 - Additional InformationPlease note that, if your preferred school is oversubscribed, admission authorities have to use a fair method of deciding how places should be allocated. For Academy, Foundation, Free and Voluntary Aided schools it is essential that you refer to the relevant School Prospectus for details relating to the admission arrangements and definitions. For Community and Voluntary Controlled Schools please refer to the Information for Parents book for the admission policy and definitions.

Your child must continue to attend their current school until you are offered and agree a start date with a new school. Parents are responsible, by law, for ensuring that their children attends school every day and are liable to prosecution if the child is absent without authorisation from the school.

Under Section 7 of the Education Act 1996 parents have a legal responsibility to provide their child with an education either by regular school attendance or Otherwise. Under this duty parents can decide to take personal, including financial, responsibility for their child’s education and this is known as Elective Home Education (EHE).

For a full copy of our Privacy Notice that sets out how we store and use your data, please visit: https://www.worcestershire.gov.uk/privacy

Note 11 - Submitting your ApplicationCompleted application forms need to be returned to School Admissions:

Via email to schooladmissions@worcschildrenfirst.org.uk or by post to: School Admissions, Worcestershire Children First, County Hall, Spetchley Road, Worcester, WR5 2NP.

Please detach and retain these notes for your information and remember to also include with this CA1 form, any supplementary information form that is required.

The Local Authority will not accept proof of submission unless you can produce your confirmation of receipt email or this receipt had been completed, retained and can be produced as evidence. If you post your application and require this slip to be returned to you, you will need to include a SAE including postage.

REMEMBER TO COMPLETE EACH SECTION TO AVOID A DELAY IN THE APPLICATION.

I acknowledge receipt of application form, in respect of (name of child):

Signed: Date:

Position at School or Local Authority receiving the form:

5.

School Admission/Transfer Application Form - CA1

CA1SCHOOL ADMISSIONS IN-YEAR APPLICATION FORM FOR WORCESTERSHIRE SCHOOLSPlease COMPLETE IN FULL each section of this form. Please note that if your application is unsuccessful, the information you provide on this form will be used by the Local Authority to determine if this child qualifies for action under the Worcestershire Fair Access Protocol. PLEASE ENSURE ALL SECTIONS OF THE FORM ARE COMPLETED, IF THERE IS INFORMATION MISSING THIS MAY RESULT IN THE APPLICATION BEING RETURNED TO YOU.

PLEASE COMPLETE IN FULL USING BLOCK CAPITALS and where necessary select a response.

Section 1:

Child’s Details

Name of Child

Surname/Last Name

Forename/First Name

Middle Names

Gender Date of Birth DD MM YY

Current Year Group

Male Female

Current Home Address

Postcode

Moving Address (if your application is because of a house move) See note 2

Postcode

Date effective from

Additional Details:

Is this child a twin or triplet, etc. (one of a multiple birth)? Yes No

Does this child have an Education and Health Care Plan under the Children and Families Act 2014?

Yes No

If YES please specify the Local Authority that issued the Plan

Was this child Previously in Care or Accommodated by a Local Authority and immediately after was subject to an adoption, a child arrangements order or special guardianship order?

Yes No

6.

Additional Details:

If YES please specify the Local Authority the child was in the care of or accommodated by

Is this child currently in Care or Accommodated by a Local Authority?

Yes No

If YES please specify the Local Authority the child is in the care of or accommodated by

Was this child previously in state care outside of England, looked after by a public authority, a religious organisation or another provider of care whose sole purpose is to benefit society and has since been adopted?

Yes No

If YES please specify the details and you will need to provide some Independent supporting with the application

Has this child been Permanently Excluded from a school within the last 2 years?

Yes No

Has this child received any Fixed Term Exclusions from a school in the last 12 months?

Yes No

When do you wish the child to move school?

Section 2:

Your Details

Name of Parent/Carer/Person making this application

Title

Surname/Last Name

Forename/First Name

Email Address

Mobile Tel Number

Home Tel Number

Relationship to the child

Do you have parental responsibility for this child? See Note 1

Yes No

If NO please provide details. See Note 1

Does this child reside with you at the address above for the majority of the school week? See Note 1

Yes No

If NO please provide further details. See Note 1

7.

Section 3:

Preference Details

First Preference School

If this child has a sibling (brother/sister) at this school please provide Name and DOB

If this child is a Child of a Member of Staff please provide Name of staff member

Reasons for this preference

Second Preference School

If this child has a sibling (brother/sister) at this school please provide Name and DOB

If this child is a Child of a Member of Staff please provide Name of staff member

Reasons for this preference

Third Preference School

If this child has a sibling (brother/sister)at this school please provide Name and DOB

If this child is a Child of a Member of Staff please provide Name of staff member

Reasons for this preference

Catholic Schools. See Note 5. Please note you are required to provide evidence of baptism with this application

Has this child been baptised Catholic? Yes No

Church Of England Schools. See Note 5. Please note you are required to provide evidence of church attendance with this application.

Have you attended church at least once a month for at least a year prior to making this application?

Yes No

8.

Section 4:

Current or most recent School Details (if this child is currently Electively Home Educated please advise which school they attended prior to EHE)

Is this child currently Electively Home Educated?

Yes No

Current/Most recent School / Provision

Contact Details at School/Provision

Start Date at this school

Date the child/young person last attended

Is the child still in attendance at this school? See Note 10

Yes No

Reasons for Non-attendance

Other Schools Attended in the Last 5 years

School Name

Start Date at this school

Date the child last attended

School Name

Start Date at this school

Date the child last attended

School Name

Start Date at this school

Date the child last attended

Managed Moves

Has this child ever been subject to a Managed Move between schools?

Yes No

Name of Home School

Name of Managed Move/ destination School

Was the Managed Move Successful Yes No

Reasons Managed Move was not successful

9.

Section 5a:

Reasons for making an In-Year Transfer Request

Moving House (into Worcestershire) Yes No

Moving House (within Worcestershire)

Yes No

Change of care placement Yes No

Unhappy with current school Yes No

Bullying Yes No

Behavioural Difficulties Yes No

Permanent Exclusion Yes No

Traveller Yes No

Returning from Elective Home Education

Yes No

Child Missing Education Yes No

Returning Crown Servant/Armed Services

Yes No

New to the UK Yes No

Refugee/Asylum Seeker Yes No

Domestic Violence Yes No

Other (Please Specify)

Section 5b:

Further details in relation to reasons for transfer

If you answered YES to being Unhappy with current school/Bullying/Behavioural Difficulties we require details of the steps you have taken to resolve any such issues

Meeting with Class Teacher/Head of Year

Yes No

Outcome

Meeting with Head Teacher/Senior Member of Leadership Team

Yes No

Outcome

Followed Schools Complaints Procedure to Governing Body

Yes No

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Further details in relation to reasons for transfer

Outcome

Other Steps you have taken to resolve problems at current school

PLEASE ENSURE THAT THE CURRENT/MOST RECENT SCHOOL COMPLETES SECTION 6 AND RETURNS THE COMPLETED FORM TO YOU. IF THIS INFORMATION IS NOT COMPLETED WE MAY NOT BE ABLE TO PROCESS YOUR APPLICATION.

(IF THE CHILD/YOUNG PERSON IS LOOKED AFTER BY THE LOCAL AUTHORITY AND THEIR EDUCATION IS NOT CURRENTLY BEING PROVIDED BY A SCHOOL SETTING, PLEASE CONTACT THE VIRTUAL SCHOOL WHO WILL SUPPORT YOU TO COMPLETE SECTION 6)

Section 6:

For Completion by child’s current or most recent school

School / Provider Name

Name of Contact at School in relation to this application and role at the school

UPN for this child

Has Transfer request been discussed with parent? NB If NO Parent will be advised to arrange a meeting with you to discuss before this application can be processed.

Yes No

Summary of Issues discussed with parent/carer

Is this child in receipt of any of the Pupil Premiums?

Yes No

If YES please specify the type

Is the school aware of any issues relating to Parental Responsibility that the Local Authority should be aware of?

Yes No

If YES please provide details

Does this child come from a Refugee or Asylum Seeker Family

Yes No

If YES please provide details in relation to English spoken

None Basic Intermediate Advanced

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Other Agency Involvement Please provide details.

Education Investigation/CME Yes No

Social Care Yes No

Is this child CIN or subject to a CPP Yes No

Education Psychologist Yes No

YOS Yes No

CAMHS Yes No

Early Help Assessment Yes No

Other Agency involvement Yes No

If YES please provide details and attach any necessary information

Other Relevant Information

Are there any Safeguarding concerns that the new school needs to be aware of?

Yes No

Are there any Attendance related difficulties? In all cases please attach record of attendance for the last 3 terms.

Yes No

If YES please give details

Is this child still on the roll of your school Yes No

If NO which of the prescribed deletions under regulation 8 of the Education (Pupil Registration) (England) Regulations 2006 as amended, did you use to remove them from roll?

Date removed from roll or date of last attendance if still on roll

Exclusions

Have there been any fixed term exclusions from your school in the last 12 months

Yes No

If YES please provide details

Dates Number of Days

Permanent Exclusions

Has this child been Permanently Excluded from this or a previous school

Yes No

If YES please provide details

12.

Managed Moves

Has this child ever been subject to a Managed Move between schools?

Yes No

Name of Home School

Name of Managed Move destination School

Was the Managed Move Successful Yes No

Reasons Managed Move was not successful

Special Educational Needs and Disabilities

Does this child have an Education and Health Care Plan?

Yes No

Is this child currently undergoing Assessment towards a possible ECHP?

Yes No

If YES please provide details

Does this child have any disabilities or medical conditions?

Yes No

If YES please provide details

Has the school completed an Individual Health Care Plan?

Yes No

If YES please attach copy

Does the child receive any SEND Support?

Yes No

If YES please provide details

Has the school completed an Individual Education Plan?

Yes No

If YES please attach copy

If the child/young person is Looked After please attach a copy of their most recent Personal Education Plan (PEP)

Has the school completed a Pastoral Support Plan?

Yes No

If YES please attach copy

Academic Information

Most recent examination/assessment results. Attach a copy showing data or a narrative

ENGLISH MATHS SCIENCE

Term taken i.e. Summer 2020

Academic Information for Key Stage 4 ONLY

For Year 9 (where applicable), Year 10 and Year 11 pupils, please list current options

13.

Subject Course Details Exam Board

PLEASE ENSURE THAT THE CURRENT/MOST RECENT SCHOOL COMPLETES SECTION 6 AND RETURNS THE COMPLETED INFORMATION TO THE PARENT/CARER.

www.worcschildrenfirst.org.uk

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Section 7:

Applicant Declaration, Terms & Conditions and Consent

For a full copy of our Privacy Notice that sets out how we store and use your data, please visit: www.worcestershire.gov.uk/privacy

To facilitate the provision of the School Admissions Service we share personal information with:

Worcestershire County Council, Worcestershire Children First, Medical Education Team, Education Transport, Provision Planning, Education Improvement, Education Investigation, Virtual School, Special Educational Needs, Social Care, Worcestershire Schools, Other Local Authorities, Other Local Authority Schools, Department for Education, Office of the Schools Adjudicator, Education Skills Funding Agency and where we are required to comply with other legal, statutory and/or regulatory obligations/requirements/for auditing.

There is a statutory duty to share the information collected with schools in order for them to determine where your application should be ranked in line with admission policies and or the allocation of school places, waiting list collation and school appeals. If you are successful in obtaining a place, the information on this form will be used for schools to successfully plan your child’s transition. . If you are unsuccessful, we will assess this application to determine if this child qualifies for action under Fair Access

By signing this declaration you are providing your consent for us to process your application, share the information on this form as stated above and use the information to assess and refer your child through the Local Authority’s Fair Access Protocol.

1. I agree that I have read the Information for Parents Book 2021/2022, the In-Year co-ordinated scheme, together with the explanatory leaflet and the notes attached to this form.

2. I have read and understood the admission criterion for all of my preferred schools.

3. I am aware and understand that a place may be lawfully withdrawn if it has been offered on the basis of a fraudulent or misleading application.

4. I agree that everyone who has parental responsibility for this child, agrees with the content, information and preferences included on this form. I understand that failure to do so may result in a delay to this application and legal resolution may need to be sought.

5. I certify that the information, which I have provided is correct and that I am aware that giving false information may result in any offer of a school place being withdrawn.

6. I give consent for the School Admissions Team to share the information provided on this form as specified above and contact any relevant agencies in order to validate this application and where my application is unsuccessful, that my child can be referred for action under Fair Access, where my application is successful I understand the information will be used to plan my child’s transition into school.

Name of Parent/Carer/Applicant

Signature

Date

Completed application forms need to be returned to:

School Admissions, Via email to schooladmissions@worcschildrenfirst.org.uk or by post to: School Admissions, Worcestershire Children First, County Hall, Spetchley Road, Worcester, WR5 2NP.